Evidence map›Paper›PMID 39817018›Full record

ArticleJournal of arrhythmia2025

Paroxysmal atrial fibrillation is associated with poor sleep quality: Tamagawa cross-sectional study on the relationship between lifestyle and atrial fibrillation (TAMAGAWA-AF study).

Toshiaki Otsuka, Haruhiko Ikegami, Eitaro Kodani, Kouichi Sakabe, Hirokazu Hatano, Mitsuaki Takami, Manabu Hironaka, Kenichi Fukai, Kazuya Yoshimoto, TAMAGAWA‐AF Study

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Toshiaki OtsukaDepartment of Hygiene and Public Health Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0009-0004-7994-7594
Haruhiko IkegamiTamagawa Medical Association Tokyo Japan.
Eitaro KodaniDepartment of Cardiovascular Medicine Nippon Medical School Tama Nagayama Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-4271-3186
Kouichi SakabeTamagawa Medical Association Tokyo Japan.
Hirokazu HatanoTamagawa Medical Association Tokyo Japan.
Mitsuaki TakamiTamagawa Medical Association Tokyo Japan.
Manabu HironakaTamagawa Medical Association Tokyo Japan.
Kenichi FukaiTamagawa Medical Association Tokyo Japan.
Kazuya YoshimotoTamagawa Medical Association Tokyo Japan.
TAMAGAWA‐AF Study

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Quality of life (QOL) is reduced in patients with atrial fibrillation (AF). However, data regarding the association between sleep quality, one of the major components of QOL, and AF are insufficient. This cross-sectional study aimed to elucidate whether sleep quality is reduced in patients with AF. Methods: We recruited 2054 consecutive outpatients (64 ± 10 years, 1089 men) who had regularly presented to 26 clinics affiliated with the Tamagawa Medical Association, Tokyo, Japan. The patients were divided into paroxysmal AF (PaAF), persistent or permanent AF (PeAF), and non-AF groups. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The global PSQI score was calculated according to the answer to each question, and poor sleep quality was defined as a global PSQI score ≥6 points. Logistic regression analysis was used to obtain odds ratio for poor sleep quality in the PaAF and PeAF groups, relative to the non-AF group. Results: The PaAF group showed significantly increased odds ratio for poor sleep quality (1.49, 95% confidence interval 1.02-2.17), after adjusting for multiple potential confounders. In contrast, no significant odds ratio for poor sleep quality was observed in the PeAF group (1.09, 95% confidence interval 0.70-1.71). Among the PSQI components, poor subjective sleep quality and sleep disturbances were the main determinants of poor sleep quality in the PaAF group. Conclusion: Sleep quality was found to be reduced in patients with PaAF, and this may be attributed to poor subjective sleep quality and sleep disturbances.

Indexed as

atrial fibrillationcommunity clinicscross‐sectional studyPittsburgh sleep quality indexsleep disturbances

Identifiers

PMID39817018
PMCPMC11730727

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.